EP3595632B1 - Composition destinée à être utilisée dans le traitement de l'endométriose et des symptômes associés à l'endométriose - Google Patents
Composition destinée à être utilisée dans le traitement de l'endométriose et des symptômes associés à l'endométriose Download PDFInfo
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- EP3595632B1 EP3595632B1 EP18715807.6A EP18715807A EP3595632B1 EP 3595632 B1 EP3595632 B1 EP 3595632B1 EP 18715807 A EP18715807 A EP 18715807A EP 3595632 B1 EP3595632 B1 EP 3595632B1
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Definitions
- the present invention relates to a composition for oral use, in particular in form of food supplement comprising quercetin, extract of curcuma or curcumin, extract of feverfew and a preparation comprising omega-3 and/or omega-6 and optionally nicotinamide and/or 5-methyltetrahydrofolate calcium salt. Moreover, the present invention relates to the use of such composition for the treatment of endometriosis symptoms and in reducing endometriosis outbreaks.
- Endometriosis a disease affecting more than 150,000,000 women in Western world is a disease with chronic development therefor currently there are no medical therapies apt to reduce or eliminate the disease.
- Endometriosis is characterized by disabling symptoms affecting young women with serious disabling physical discomfort, difficulties in the social life and infertility. Such symptoms are due to the inflammatory process determined by the development of the disease outbreaks most frequently at the expense of pelvic organs, genital organs, intestine and bladder, apart from the sustaining structures thereof.
- the factors that are altered in acute and chronic inflammatory processes are several, a reduction in such factors reduces the inflammatory process that in endometriosis is responsible for the symptoms (acute and chronic pelvic pain, dyspareunia, dysmenorrhea, pain related to ovulation, pain for urination, pain in the bowel functions, chronic physical fatigue, headache, female infertility).
- estrogenic reduction favours less disease activity with a lower host immune response which translates into less acute and chronic inflammation.
- the factors involved in this inflammatory process are prostaglandins PGE 2, TNF alfa, metalloproteinase, VEGF.
- the estrogens by increasing the in vivo activity of the disease outbreaks, increase the inflammatory response in the involved organs.
- Harris and Vlass 2015 (Med Aromat Plants 2015, 4:2 "Can Herbal Medicines Improve Cellular Immunity Patterns in Endometriosis? ) underline the limited information provided on the benefits of herbal medicine in the treatment of endometriosis and reviews the state of knowledge for the pathogenesis of endometriosis and the role of the immune system in the causation of the disease indicating that there are a range of herbs having the capacity to improve immunological function in endometriosis.
- the object of the present invention is to provide a composition alternative to the ones known in the state of art useful in the treatment of endometriosis.
- the present invention is based upon searching and identifying a new combination of natural active principles exerting effects in reducing the inflammatory response and effects in reducing the disease activity with the purpose of mitigating the inflammatory response, by reducing the symptoms produced by the disease and the dangerous effects thereof on the involved organs, both for the single actions of each single combination element and for the synergic and strengthened action of the various components of the combination the invention relates to.
- the combination of active ingredients of the present invention allowed to obtain a reduction in disease outbreaks, demonstrated by a decrease in the values of specific marker Ca 125.
- the advantageous effect is obtained at relatively low dosages of the single components, by remaining in the specification of tables of food supplements.
- the present invention relates to a compositions including quercetin, extract of curcuma or curcumin, extract of feverfew, and a preparation comprising omega-3 and/or omega-6 and optionally nicotinamide and/or 5-methyltetrahydrofolate calcium salt.
- the present invention further relates to such compositions for use in the treatment of endometriosis.
- the present invention describes a composition
- a composition comprising, as main active ingredients, quercetin, extract of curcuma or curcumin, extract of feverfew and a preparation comprising omega-3 and/or omega-6 and optionally nicotinamide and/or 5-methyltetrahydrofolate calcium salt.
- preparation including omega-3 and/or omega-6 any preparation is meant, for example of natural, animal or plant origin, including essential fatty acids omega-3 and/or omega-6, preferably both of them.
- the composition will include a concentration of omega-3 between 200 and 3000 mg and/or omega-6 between 50 and 2000 mg, in particular per dosage unit to be administered.
- omega-3 and omega-6-based preparations are linseed oil, fish oil, Chia seeds, rape-seed oil.
- the linseed oil can be obtained by the person skilled in the art by means of conventional extraction techniques, for example it is obtained by squeezing previously dried or roasted flax seeds, preferably linseed oil in the composition will be in a concentration between 0.3 and 7 grams, in particular per dosage unit to be administered.
- Linseed oil Lium usitatissimum L., seeds, carrier: silicium dioxide
- Coating agent Hydroxypropylmetylcellulose
- Bulking agent Dibasic calcium phosphate
- the linseed oil used in the composition is titrated in linoleic acid and/or ⁇ -linolenic acid, for example ⁇ -linolenic acid between 400 mg and 2000 mg.
- the composition of the invention further comprises an extract of plants belonging to the genus curcuma, in particular belonging to the species curcuma longa.
- the composition could include an extract of curcuma in a dose between 15 and 200 mg, preferably 20 mg, such extract will include curcuma active principle titrated for example in the above-mentioned range.
- Curcuma determines a reduction in the amount of estrogens, inhibition of metalloproteinases, it speeds up cellular apoptosis, it reduces TNF alfa immunity mediator, it reduces interleukin mediators, it inhibits angiogenesis by reducing VEGEF.
- the composition of the invention further comprises an extract of plants belonging to the species Tanacetum parthenium (feverfew).
- the composition could include an extract of feverfew titrated, for example in a dose between 3 and 100 mg, preferably 19.5 mg per dosage unit.
- Such extract will include parthenolide active principle titrated for example in the above-mentioned range.
- Feverfew inhibits prostaglandin PGE(2)
- TNF alfa inhibits the proliferation of fibroblasts, it has an anti-hemicrania action and an action for reducing the inflammatory process.
- an extract of feverfew flower titrated in parthenolide between 0.3 and 0.6% will be used, such as for example the one available on the market by LCM IPA num.
- STP-QCPJHS404-001 STP-QCPJHS404-001.
- composition of the invention further comprises quercetin preferably in a dose between 50 mg and 1000 mg, in particular per dosage unit to be administered, preferably 200 mg.
- Quercetin reduces local estrogens by reducing FSH and LH (studies on animal model), it reduces VEGEF.
- Quercetin and its obtaining modes/synthesis are widely described in the state of known art and therefore they do not require further examinations herein, by way for example it can be extracted from hawthorn, calendula, horse-chestnut tree, in particular Quercetin from flowers of Sophora japonica could be used.
- composition of the invention could further include nicotinamide and/or 5-methyltetrahydrofolate calcium salt.
- 5-methyltrahydrate calcium salt reduces homocysteine (thromboembolic factor), whereas Nicotinamide (Vitamin B3) carries out an antiangiogenetic action.
- the composition could include Nicotinamide, for example in a dose between 5 and 100 mg, preferably 20 mg, whereas 5-methyltetrahydrofolate calcium salt preferably in a dose between 100 mg and 600 mg.
- compositions according to the present invention can be formulated under any form and administration route and associated with any other component, in a variety of ways for example capsule, soft capsules, tablets, pills, jellies, powders or granules.
- excipients can be selected for example from those usually known in the state of art and include, but they are not limited thereto: a) carriers, such as for example sodium citrate and calcium phosphate, b) fillers such as for example starch, lactose, microcrystalline cellulose, sucrose, glucose, mannitol and colloidal silica, c) humectants, such as for example glycerol, d) disintegrant agents, such as alginate, calcium carbonate, starches, derivatives of starch, of cellulose and of polyvinylpyrrolidone, silicates and sodium carbonate e) ligands such as carboxymethylcellulose, alginates, jelly, polyvinylpyrrolidone, sucrose, polymer derivatives of cellulose, star
- the forms of solid dosage such as tablets, capsules, soft capsules, jellies, pills and granules, could be coated with enteric, gastric coatings or of other type known to the state of art. They could include opacifying agents and they can be of the type to allow the release of active ingredients only or preferably in a certain intestine tract, in case, in delayed way. Substances which can allow such delayed use include, but are not limited thereto, polymers and waxes.
- the soft capsules could house antioxidant active substances in liquid form alone or in solutions, suspensions or emulsions of the active substances in a liquid solvent.
- the soft capsules could be characterized by a casing qualitatively similar to that of the stiff capsules, but thicker and softer.
- Liquid forms suitable to an oral for example are emulsions, solutions, prepared or extemporary suspensions, syrups and elisir.
- Excipients suitable to the formulations according to the present invention in liquid forms for oral use include, but they are not limited thereto, diluents such as water or other solvents, solubilising and emulsifying agents selected among ethyl alcohol, polyalcohols, propylene glycol, glycerol, polyethylenglycol and sorbitan esters. These formulations can even include sweeteners and aroma.
- the compositions will be for example a food supplement, a nutraceutical, dietary and nutritional composition a food product, a beverage, a neutraceutical, a medicament, a medicated food, a food for special medical purposes, a food.
- the compositions will be mainly intended to be used by human beings, but they could even be used on animals.
- compositions according to the present invention could include one or more suitable food ingredients and/or preservatives and/or acidifiers and/or antioxidant agents and/or immunostimulating agents and/or dyes and/or probiotic and/or prebiotic substances.
- the combination of the above-mentioned active ingredients could be used formulated in one single composition according to the several above-described embodiments or in a kit including the different separated ingredients, for example in single compositions such as capsules, pills, tables for sequential or contemporary administration of the different ingredients.
- compositions could be used/administered/taken for the treatment of endometriosis, in particular for the treatment of the symptoms associated to this pathology such as for example acute and chronic pelvic pain, dyspareunia, dysmenorrhea, pain related to ovulation, pain related to urination, pain in the bowel functions, chronic physical fatigue, headache, female infertility.
- the combination of active ingredients according to the present invention will be administered with a daily dosage regime according to the above-mentioned concentrations.
- a composition was prepared comprising linseed oil 1002 mg (alfa linolenic acid (omega 3) 432 mg and linoleic acid (omega 6) 172.8 mg), quercetin 200 mg, nicotinamide 20 mg, 5-Methyltetrahydrofolate calcium salt 400 mcg, curcuma titrated 20 mg, feverfew titrated 19.5 mg.
- the first group of 30 patients was treated with the above-mentioned composition including all active principles.
- the second group of 30 patients with a composition including only linseed oil and 5-methyltetrahydrofolate calcium salt.
- the third group of 30 patients affected by endometriosis took for the same duration of the first two groups a placebo and thus had the function of control group.
- the second group di 30 patients took the equivalent dose of Linseed oil 1002 mg (alfa linolenic acid (omega 3) 432 mg and linoleic acid 172.8 mg (omega 6) still twice a day for oral administration (oa) associated to 5-methyltetrahydrofolate calcium salt (400 mcg) twice a day for oral administration.
- Symptomatology and comorbidity of the affected groups I and II group and affected placebo group each one constituted by 30 patients for a total of 90 subjects affected by endometriosis.
- Beta Estradiol (on 21 st day of period): average value group 1: 184pg/ml Serum dosage of PGE2 average value group 1: 3404+/- 346 ng/l
- Linseed oil 1002mg alfa linolenic acid (omega 3) 432 mg and linoleic acid 172.8 mg (omega 6)
- 5-Methyltetrahydrofolate calcium salt 400mcg determined a reduction in the symptomatology evaluated with VAS scale and in the serum values of the marker of PGE2 inflammation, lower reduction than Group I taking all components, such differences are statistically significant and show the powerful and sole syn
- VAS scale symptomatology values with the composition of only two components Linseed oil 1002mg (linolenic acid, 432 mg, linoleic acid, 172,8) and 5-Methyltetrahydrofolate calcium salt 400mcg,
- Beta Estradiol (on 21 st day of period) group 2 168pg/ml
- Serum dosage PGE2 group 2 2605+/-396ng/ml
- Placebo group after 3-month treatment placebo
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Claims (10)
- Composition comprenant de la quercétine, un extrait d'une plante appartenant au genre curcuma ou curcumine, un extrait d'une plante appartenant à l'espèce grande camomille (Tanacetum parthenium) et une préparation comprenant des oméga-3 et/ou oméga-6.
- Composition selon la revendication 1, comprenant en outre du nicotinamide et/ou un sel calcique de 5-méthyltétrahydrofolate.
- Composition selon la revendication 1 ou 2, dans laquelle ladite préparation comprenant des oméga-3 et/ou oméga-6 est l'huile de graines de lin.
- Composition selon l'une quelconque des revendications 1 à 3, dans laquelle la quantité d'oméga-3 est comprise entre 200 et 3 000 mg et/ou d'oméga-6 est comprise entre 50 et 2 000 mg et/ou de quercétine est comprise entre 50 et 1 000 mg et/ou de camomille romaine est comprise entre 3 et 40 mg et/ou de curcuma est comprise entre 15 et 200 mg.
- Composition selon l'une quelconque des revendications 2 à 4, dans laquelle la quantité de nicotinamide est comprise entre 5 et 100 mg et/ou de sel calcique de 5-méthyltétrahydrofolate est comprise entre 50 et 800 mg.
- Composition pour une utilisation orale selon l'une quelconque des revendications 1 à 5 sous une forme choisie parmi la capsule, la gélule molle, le comprimé, la pilule, la gelée, la poudre, le granulé, l'émulsion, la solution, le sirop.
- Composition pour une utilisation orale selon l'une quelconque des revendications 1 à 6, dans laquelle ladite composition est un complément alimentaire, un nutraceutique, une composition diététique et nutritionnelle, un produit alimentaire, une boisson, un nutraceutique, un médicament, un aliment médicalisé ou un aliment destiné à des fins médicales spécifiques.
- Composition selon l'une quelconque des revendications 1 à 7 pour l'utilisation dans le traitement de l'endométriose.
- Composition selon l'une quelconque des revendications 1 à 8 pour l'utilisation dans le traitement d'un ou de plusieurs symptômes associés à l'endométriose choisis parmi la douleur pelvienne aiguë et chronique, la dyspareunie, la dysménorrhée, la douleur liée à l'ovulation, la douleur liée à la miction, la douleur au niveau des fonctions intestinales, la fatigue physique chronique, les maux de tête, l'infertilité féminine et la réduction des crises d'endométriose.
- Kit comprenant de la quercétine, un extrait de curcuma et de curcumine, un extrait de grande camomille et une préparation comprenant des oméga-3 et/ou oméga-6 en plus éventuellement du nicotinamide et/ou du sel calcique de 5-méthyltétrahydrofolate.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
IT102017000029316A IT201700029316A1 (it) | 2017-03-16 | 2017-03-16 | Composizione per uso nel trattamento dell'endometriosi e dei sintomi associati all’endometriosi |
PCT/IB2018/051614 WO2018167635A1 (fr) | 2017-03-16 | 2018-03-12 | Composition destinée à être utilisée dans le traitement de l'endométriose et des symptômes associés à l'endométriose |
Publications (2)
Publication Number | Publication Date |
---|---|
EP3595632A1 EP3595632A1 (fr) | 2020-01-22 |
EP3595632B1 true EP3595632B1 (fr) | 2021-04-28 |
Family
ID=59521492
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP18715807.6A Active EP3595632B1 (fr) | 2017-03-16 | 2018-03-12 | Composition destinée à être utilisée dans le traitement de l'endométriose et des symptômes associés à l'endométriose |
Country Status (4)
Country | Link |
---|---|
US (1) | US20200138776A1 (fr) |
EP (1) | EP3595632B1 (fr) |
IT (1) | IT201700029316A1 (fr) |
WO (1) | WO2018167635A1 (fr) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20220280507A1 (en) * | 2019-08-02 | 2022-09-08 | Lianyungang Jinkang Hexin Pharmaceutical Co., Ltd. | Uses of 5-methyltetrahydrofolate and its composition |
Family Cites Families (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6534086B1 (en) * | 2000-03-06 | 2003-03-18 | Metagenics, Inc. | Composition and method for treatment of inflammation and pain in mammals |
EP1517667A2 (fr) * | 2002-07-02 | 2005-03-30 | Galileo Pharmaceuticals, Inc. | Compositions et methodes permettant de diminuer des symptomes inflammatoires et/ou des biomarqueurs chez des sujets feminins |
ITMI20130075A1 (it) * | 2013-01-21 | 2014-07-22 | Altergon Sa | Combinazione orale per la prevenzione e il trattamento di patologie vescicali, pelviche e dell¿apparato uro-genitale |
-
2017
- 2017-03-16 IT IT102017000029316A patent/IT201700029316A1/it unknown
-
2018
- 2018-03-12 US US16/493,354 patent/US20200138776A1/en not_active Abandoned
- 2018-03-12 WO PCT/IB2018/051614 patent/WO2018167635A1/fr unknown
- 2018-03-12 EP EP18715807.6A patent/EP3595632B1/fr active Active
Non-Patent Citations (1)
Title |
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None * |
Also Published As
Publication number | Publication date |
---|---|
IT201700029316A1 (it) | 2018-09-16 |
US20200138776A1 (en) | 2020-05-07 |
WO2018167635A1 (fr) | 2018-09-20 |
EP3595632A1 (fr) | 2020-01-22 |
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